I’ve stated that one of the most critical aspects of excision surgery is the confirmation of the diagnosis of endometriosis by a pathologist looking at a tissue sample under a microscope. The pathologist will also determine if cancer is present. Without this important step, Angela, a patient of mine from Mississippi, would probably still not know that she had cancer. Angela endured a barrage of endometriosis symptoms as a teenager: painful periods, killer cramps, heavy bleeding, fatigue, and painful bowel movements. When she was fifteen she underwent a CT scan, which revealed cysts on her ovaries. Her doctor told her they were nothing to be concerned about, so she didn’t let them worry her. But as the years went on, the symptoms worsened.